Indicators of genitourinary tract injury or anomaly in cases of pediatric blunt trauma

Abou-Jaoude, Walid; Sugarman, Jacqueline M.; Fallat, Mary E.; Casale, Anthony J.

doi:10.1016/s0022-3468(96)90325-5

Cited by 48 publications

(15 citation statements)

References 15 publications

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“…Renal trauma tends to be more common in the young than in the elderly [8]. The patients in group 2 were older than patients in group 1 (p < 0.03).…”

Section: Discussionmentioning

confidence: 89%

Conservative Management of Major Blunt Renal Trauma with Extravasation: A Viable Option?

Elashry

Dessouky

2008

Eur J Trauma Emerg Surg

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“…Renal trauma tends to be more common in the young than in the elderly [8]. The patients in group 2 were older than patients in group 1 (p < 0.03).…”

Section: Discussionmentioning

confidence: 89%

Conservative Management of Major Blunt Renal Trauma with Extravasation: A Viable Option?

Elashry

Dessouky

2008

Eur J Trauma Emerg Surg

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“…Some have advocated that the decision to image pediatric patients should be the same as adults with regard to renal trauma [9][10][11][12]. However, using hypotension as the only indicator for the need for imaging in the traumatized child is cautioned against as children may have a greater physiologic reserve and may not demonstrate the effects of bleeding from severe renal injury as reliably as in the adult [13].…”

Section: Imagingmentioning

confidence: 99%

Review of the evidence on the management of blunt renal trauma in pediatric patients

et al. 2009

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Due to the size and location within the pediatric patient, the kidneys are susceptible to injury from blunt trauma. While it is clear that the goal of management of blunt renal trauma in children is renal preservation, the methods of achieving this goal have not been well established in the current literature. Therefore, we have set out to summarize and clarify the current published information on the management strategies for blunt renal trauma in children. While there is extensive literature available, it consists mostly of retrospective series documenting widely varied management styles. The purpose of this review is to display the current information available and delineate the role for future studies that may allow us to develop consistent management strategies of pediatric patients, who have sustained blunt renal trauma, in a safe and cost-effective manner.

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“…Trauma to abdomen and/or chest injuries remains a potential cause for hematuria in children. The need for genitourinary tract evaluation in pediatric trauma patients is based as much on clinical judgment as on the presence of hematuria [37]. Children with microscopic hematuria of greater than 50 RBCs/ HPF or macroscopic hematuria, even in the presence of a benign abdominal examination, should undergo imaging with an abdominal CT scan.…”

Section: Urinary Tract and Abdominal Traumamentioning

confidence: 99%

Hematuria in Children

Ashraf

2013

Int J Clin Pediatr

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Presence of red blood cells (RBCs) in urine is hematuria that even in microscopic amounts alarms the patient and parents of the patient, and often prompts physician for many laboratory investigations. Hematuria can be red, dark or cola colored or brown known as macroscopic hematuria, and when it is not visible to unaided eye, it is known as microscopic hematuria. RBCs in urine is one of the most important signs of genitourinary tract disease; however, it is almost never a cause of anemia, since few drops (1 mL) of blood can turn 1 L of urine into red colored urine. Overall the physician should be alert enough not to overlook serious conditions like neoplasms and underlying bleeding disorder, to avoid unnecessary and often expensive laboratory studies. This article provides an approach to the evaluation and management of hematuria in children, and the detection of preventable and treatable conditions at the earliest to limit the disease progression, and overall reduction in cost, energy and anxiety.

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Indicators of genitourinary tract injury or anomaly in cases of pediatric blunt trauma

Cited by 48 publications

References 15 publications

Conservative Management of Major Blunt Renal Trauma with Extravasation: A Viable Option?

Conservative Management of Major Blunt Renal Trauma with Extravasation: A Viable Option?

Review of the evidence on the management of blunt renal trauma in pediatric patients

Hematuria in Children

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